Organization Active NPI

South Bay Center for Counseling

  • Community/Behavioral Health Agency
  • Wilmington, CA
National Provider Identifier
1942508320
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH BAY CENTER FOR COUNSELING
Practice address
540 N Marine Ave
Wilmington, CA 90744-5528
Phone
(310) 414-2090
Fax
(310) 414-2096
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Selene KetchumNPI 1497460117
Title
Director Community-Based Doula Supp
Phone
(310) 491-4948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

540 N Marine Ave
Wilmington, CA 90744-5528

Mailing address

540 N Marine Ave
Wilmington, CA 90744-5528
Phone (310) 414-2090

National Provider Directory

National Provider Directory

Locations

540 N Marine Ave
Wilmington, CA 90744
Phone (310) 461-9638

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1942508320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N MARINE AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445528",
            "telephone_number": "310-414-2090",
            "fax_number": "310-414-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N MARINE AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445528",
            "telephone_number": "310-414-2090",
            "fax_number": "310-414-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY CENTER FOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "KETCHUM",
        "authorized_official_first_name": "SELENE",
        "authorized_official_title_or_position": "DIRECTOR COMMUNITY-BASED DOULA SUPP",
        "authorized_official_telephone_number": "310-491-4948"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.